Tranexamic Acid vs. Quixil - Reducing Blood Loss in Joint Replacement

Golden Jubilee National Hospital132 enrolled

Overview

We will compare the effectiveness of Quixil and Tranexamic acid in reducing bleeding during hip and knee joint replacements.

This is a prospective randomised controlled trial to compare the benefits of Quixil vs. Tranexamic acid in reducing blood loss. Both medicines are used for the reduction of blood loss in major joint surgery; previous studies have shown each one to be effective and safe, but they have not been directly compared in this setting. We will compare the blood loss in each of 3 groups: tranexamic acid used, Quixil used, and control group (neither drug used). Blood loss is to be calculated from height, body weight and difference between pre and post-operation haematocrit.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

132

Conditions

Hemorrhage Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee

Interventions

IV Tranexamic acid 10mg/kg pt body weightDRUG

Quixil topical sealantDRUG

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who are to undergo elective hip or knee joint replacement * Must be cemented arthroplasty * Must be primary arthroplasty Exclusion Criteria: * Uncemented arthroplasty. * Revision arthroplasty. * Patients on anticoagulant (warfarin, low molecular weight heparin) or other medication known to affect clotting (except aspirin, which is to be given as part of standard DVT prophylaxis in all cases). * Other drugs that may affect the activity of the drugs under investigation. * Allergy to asprin (all patients to receive 150mg aspirin as standard DVT prophylaxis for 6 weeks). * Patients with known coagulopathy (APTT or PT outside normal range pre-operatively). * Previous reaction or ethical/religious objection to receiving blood products (Quixil contains a derivative of human blood). * Pregnancy or breastfeeding. * Patients who have a past medical history of thrombo-embolism at any time. * Patients who need intravenous fluid administration for greater than 24 hours following operation. * Patients who need allogenic blood transfusion within study period. * Jehovah's Witnesses, or any other group of patients with ethical objections to receiving blood products.

Locations (1)

Golden Jubilee National Hospital

Clydebank, Scotland, United Kingdom

Outcomes

Primary Outcomes

Blood loss as calculated from change in haematocrit

Data from ClinicalTrials.gov

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